Parker Tri 4: Gonstead -Exam 1 review
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Who was Dr. Gonstead?
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- First name Clarence -born July 24, 1898 -lived in Willow Lake, South Dakota -Raised on farm, started his day milking 12 cows and helped tend to his father's Clydesdale horses -one of 5 children -Worked as engineering foreman for JL Case Company
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Why did Dr. Clarence Gonstead get into chiropractic?
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-age 19 became bedridden with Rheumatoid arthritis, this would have been 1917 -had no help from conventional solutions for that time -Dr. Olson, a chiropractor, came to live -adjusted Dr. Gonstead every 4 to 6 hours -turning point at which he was finally able to started crawling around and eventually walked
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Who is Elvira Meister?
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-Dr. C. S. Gonstead's wife -married Valentines day 1924 -Nickname was "Vi" per Dr. Gonstead -very dedicated to chiropractic and her husband
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Dr. Gonstead as chiropractor?
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-graduated from Palmer Chiropractic College in 1923 -class of 800 members -had two brothers who also became chiropractors
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Dr. G's first clinic? part 1
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-worked for Dr. Olson who was recuperating from an illness -opened is forst office on upper level of the bank building of Mt. Horeb, Wisconsin -this was a first of this kind in Wisconsin -MD's were tripping over Dr. Gonstead's patient's lined up on the two stories of stairs
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Dr. G's first clinic? part 2
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-first to have an actual office outside of the home -most chiropractors in the 20's had home offices and lived above the clinic -He was one of the first Chiro's in Wisconsin to have X-ray and use a fluoroscope
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Dr. Gonstead's style of practice?
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-Mrs. Gonstead said: "I can remember him sitting up long hours even when he got through at the office he'd sit there and study those x-rays... and he'd try to work it out, and he did work it out." -cared for all ages until all hours of the night, seven days a week
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Dr. Gonstead's style of advertising?
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-he was very proud of the fact that he never spent a postage stamp to adverstise -One patient tells the other about health care -"you got this problem, Why don't you go over and try it."
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First Gonstead Clinic?
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-1939 the practice outgrew the bank building, so built a free-standing clinic -Four adjusting rooms, two on each side of a hallway -one consultation room
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Clinic hours? part 1
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-Vi, "we were the only ones open late at night. You'd come into Mt. Horeb and the only one's that were lit up was Gonstead" -Patient's didn't mind waiting for as long as three and four hours to see him -Sometimes they would go home for dinner and come back
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Clinic hours? part 2
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-Many times the milkman would be starting his rounds when Gonstead would finish at 4am -It was often said that Gonstead didn't go to bed on the same day he woke up, and he changed his shoes twice a day
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House calls?
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-for the bedridden -He said, "don't wait up, I'll just knock on the door or window when I arrive." -Elvira drove the care after hours to let him catch up on sleep -Dr. Gonstead sometimes cat napped during the 7 second that hi-lo raised and lowered
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Polio epidemic?
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Elvira shoveled snow to get as close to the farm houses as possible -Dr. G. caught up on sleep in the car -Dr. G. would wade into the house and sometimes stay all night to break a fever, ease the pain and end suffering
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Dr. G's view of the spine?
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-intricate engineering wonder -traveled to Lincoln Chiropractic college in private plane -dissected, studded, stained, photographed and reconstructed cadaver spines -his second plane... a Beach Travel-aire, LOL!
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Dr. G's thousands of clinical cases?
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-scrutinized many cases to find out what worked -often relied "on outcome studies"
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Dr. G's system? part 1
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-full spine -seen as one highly integrated system -one area events the others -"Changes in one area of the spine, whether functional or organic, can and do produce biomechanical and neurophysiological changes in other areas of the spine."
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Dr. G's system? part 2
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-felt for the spine's intricacies that is was necessary to examine the whole spine and not just the place that hurts -is a technical procedure that gives rise to a specific, definite approach to every segment of the spinal column
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Dr. G's methods of locating subluxation?
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1. instrumentation 2. Digital palpation 3. Motion palpation 4. Visualization 5. X-ray and adjusting by hand only
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The system used for clinic? part 1
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-Cervical adjusting seated -allows proper line of correction -first knee-chest table used for entire spine -worked with a company to make more sensitive instrument to detect temperature differentials aka. nerv o scope
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The system used for clinic? part 2
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-Pioneered full spine e-rays and perfected use of AP and Lateral 14 by 36 films, intensifying screens and,, -the first exclusively chiropractic x-ray unit in the profession
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Chiropractor's Chiropractor? part 1
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-1946 Tom Askland and Christ Oldenberg urged Dr. G to give seminars -Information present by Dr. G was new to many doctors
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Chiropractor's Chiropractor? part 2
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-Information present by Dr. G new to doctors because many... 1. had only been taught to find the most misaligned used an x-ray and correct it. 2. Had been taught that the pelvis didn't move 3. 1959 Dr. G taught that it could
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Chiropractor's Chiropractor? part 3
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-First seminar director- Dr. Ted Markham- actually began by trying to disprove Dr. G's theories. -Dr. Markham found Dr. G. to be accurate
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Events of 1964? part 1
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-built the current Gonstead clinic -19,000 square feet -seating for 106 patients in waiting area, frequently full
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Events of 1964? part 2
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-main floor is out-patient facility with, 1. adjusting rooms 2. waiting area 3. X-ray 4. Laboratory 5. Reception -lower floor was for seminar facilities
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Listings for any vertebral segment between C2 and L5?
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1. remember that all listing are in reference to the *spinous process* of the involved vertebra 2. we also *always* list the segment above in relationship to the segment below. 3. the segment on top is the subluxated segment therefore if L4 is listed in relationship to L5 then L4 would be the one subluxated
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The letters what do they mean?
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P= posterior- Dr. G viewed the vertebra subluxated was on posterior direction and referenced the spinous process. Also this is viewed as a translation not a rotational listing R or L is
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Occiput listings?
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have six letters encompassing the different ways that it can subluxate P or S L or R Rt.posterior or Lt.posterior Rt.anterior or Lt.anterior
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Atlas listings?
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-always have A as first letter referencing the anterior tubercle -then reference the transverse process for the side of the wedge in relationship to the direction of the anterior tubercle direction of subluxation
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Disc degeneration nomenclature?
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there are six categories of disc degeneration for documentation purposes D1 D2 D3 D4 D5 D6
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D1=?
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=swollen -appears larger than others -time frame= just injured
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D2=?
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=thin at posterior -slightly misaligned posterior inferior -time frame= 6 months from injury to develop
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D3=?
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=very thin @ posterior -time frame= 3 to 5 years for this to develop
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D4=?
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=complete height decrease not just posterior loss -misaligned posterior inferiorly -time frame= 5 to 8 years for this to develop
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D5=?
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=lost two thirds of disc height -there is body deformity occuring -times frame= 8 to 12 years for this to develop
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D6=?
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=no disc left -think line on x-ray, means this is a chronic condition time frame= 15 years or more for this to have developed.
